Active NPI
David Randall Tate
- Pharmacist
- Wichita Falls, TX
National Provider Identifier
1992238612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29109
- Practice address
- 4909 Johnson Rd
Pharmacist
Wichita Falls, TX 76310-2547 - Phone
- (940) 687-8625
- Fax
- (940) 691-7574
- NPI assigned
- Apr 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29109 | TX | Primary |
Addresses
Primary practice location
4909 Johnson Rd
Pharmacist
Wichita Falls, TX 76310-2547
Mailing address
4909 Johnson Rd
Pharmacist
Wichita Falls, TX 76310-2547
Phone (940) 687-8625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29109 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1992238612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 JOHNSON RD",
"address_2": "PHARMACIST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763102547",
"telephone_number": "940-687-8625",
"fax_number": "940-691-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 JOHNSON RD",
"address_2": "PHARMACIST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763102547",
"telephone_number": "940-687-8625",
"fax_number": "940-691-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "DAVID",
"middle_name": "RANDALL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "29109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.